Individual
DR. ANGELA ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6202 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-2705
(352) 795-9697
(352) 795-9698
Mailing address
6202 W CORPORATE OAKS DR, CRYSTAL RIVER, FL 34429-2705
(352) 795-9697
(352) 795-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME82096
FL
208000000X
Pediatrics Physician
ME82096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265373700
—
FL
01
—
51981
BCBS
FL
Enumeration date
03/14/2006
Last updated
11/11/2008
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